Modified Duke Criteria

大的 2.5 分、小的一分、總分要五分

Definitive: 五分

2 major or 1 major + 3 minor or 0 major + 5 minor;

Possible: 三分

1 major + 1 minor 3 minor

Major clinical criteria

• BCx with common endocarditis pathogen (grown in 2 separate cx)
• Coxiella burnetii serology ≥1:800
• Endocardial involvement: vegetation, abscess, prosthetic dehiscence or new valvular regurgitation

Minor clinical criteria

• Predisposing condition (see Risk Factors-bacterial endocarditis)
• Fever
• vascular phenomena:
• immune phenomena:
• ⊕ BCx not meeting major criteria

Se ~90%, Sp >95%, NPV ≥92% (CID 2000;30:633).

Backlink

• bacterial endocarditis
• Major clinical criteria
• Minor clinical criteria
• native valve endocarditis